The influence of a community health fair screening on clinic utilization /

Bibliographic Details
Main Author: Harvey, Diane Marie, 1949-
Other Authors: Beall, B. Sue (degree committee member.), Crompton, John L. (degree committee member.), Schmidt, N. Gayle (degree committee member.), Tolson, Homer (degree committee member.)
Format: Thesis Book
Language:English
Published: 1990.
Subjects:
Online Access:ProQuest, Abstract
Link to OAKTrust copy
Description
Abstract:The problem of this investigation was to determine the influence of a Scott & White health fair screening activity conducted in a community health fair setting on Scott & White clinic utilization by established patients. This retrospective study involved 541 established Scott & White patients who had participated in a community health fair cholesterol screening activity at one of three sites (Temple, Killeen, or Waco, Texas) between October 1987 and September 1988. Classification variables included Scott & White Health Plan Membership (2 levels-- Yes and No), age group (3 levels -- 20-39, 40-59, and 60+years), and cholesterol level (2 levels-- non-elevated and elevated). Data on the number of appointment calls which resulted in a clinic visit during consistent four-month periods over three separate years were collected and analyzed for each site. Repeated measures multi-variate analyses of variance (MANOVA) with repeated measures on Time were performed to establish if there were significant differences by site in regard to the number of appointment calls between the screening year and two previous control years and between classification variables. The results as related to the five null hypotheses were as follows: 1. Clinic utilization was not significantly influenced by the cholesterol screening activities a t Killeen and Waco but there was a difference in clinic utilization over Time in Temple. 2. In Temple, the non-elevated cholesterol subjects exhibited a significantly higher utilization than did those individuals with elevated levels. No difference occurred in Killeen and Waco in regards to cholesterol level. 3. The SWHP members in Temple showed a significantly higher mean number of appointment calls than did the non-SWHP member group. No difference occurred in Waco as to SWHP groups, and the main effect at the Killeen site was limited by a significant interaction. 4. No difference in utilization between age groups was exhibited a t Temple or Waco. A significant interaction negated an interpretation of the main effect of Age at Killeen. 5. Significant interactions were discovered for the Killeen site in regard to SWHP and Age and Time*SWHP.
Item Description:Typescript (photocopy).
Vita.
"Major subject: Health education."
Physical Description:xii, 160 leaves : illustrations ; 29 cm
Bibliography:Includes bibliographical references.